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General NPI Number Information
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NPI Number | 1790150183
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Entity Type | Organization
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Legal Business Name | HILDEBRAND HOME CARE INC.
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Dates
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Enumeration Date | 12/10/2015
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 1131 N 15TH ST
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City | CANON CITY
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State | CO
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Zip | 81212-4618
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Country | US
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Telephone | 719-276-3030
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Fax | 719-276-0011
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Provider Business Mailing Address
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Address Line | 1131 N 15TH ST
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City | CANON CITY
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State | CO
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Zip | 81212-4618
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Country | US
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Telephone | 719-276-3030
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Fax | 719-276-0011
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIMBERLY DIODOSIO
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Credential |
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Telephone | 719-276-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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